Full Circle Wellness, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FULL CIRCLE WELLNESS, PLLC

Practice address

6416 Carmel Rd Ste 408
Charlotte, NC 28226-8268

Phone

(980) 428-9174

NPI assigned

May 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tonia Jacobs Deese, MSW, LCSWNPI 1255625570

Title

Owner, Director

Phone

(919) 619-7379

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tonia Jacobs Deese, MSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1255625570
  NPD (past) Authorized official
• Hannah Barr, LCSWA

  • Mental Health Counselor
  • Lexington, NC
  • NPI 1053153254
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1558100636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 ASHTON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106844",
            "telephone_number": "919-619-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 CARMEL RD STE 408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268268",
            "telephone_number": "980-428-9174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5915 Old Waxhaw Monroe Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281126519",
            "country_code": "US",
            "telephone_number": "980-428-9174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FULL CIRCLE WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "DEESE",
        "authorized_official_first_name": "TONIA",
        "authorized_official_middle_name": "JACOBS",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "919-619-7379",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053153254",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.